Breastfeeding Behaviors by Race/Ethnicity and Foreign-Born Status in the United States: An Analysis of the U.S. National Survey of Children's Health.

IF 2.1 3区 医学 Q2 OBSTETRICS & GYNECOLOGY
Angela G Campbell, Saman Naz, Armando Peña
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Abstract

Objective: The foreign-born population is growing in the United States, but no nationally representative statistics of breastfeeding behavior disaggregated by race/ethnicity and foreign-born status have been published in recent years. This study examines breastfeeding initiation, any breastfeeding, and exclusive breastfeeding at 3 and 6 months among foreign-born and U.S.-born Non-Hispanic (NH) Black, NH White, and Hispanic women in the United States. Methods: This is a cross-sectional study utilizing years 2021 and 2022 of the National Survey of Children's Health. Sample children identified as NH White, NH Black, and Hispanic who were 6 months to 5 years old and residing with their biological or adoptive mother were included (n = 27,818). Results: Foreign-born women in all racial/ethnic groups (NH Black, NH White, and Hispanic) had significantly higher odds of any breastfeeding at 6 months relative to U.S.-born NH White women. However, they did not have significantly different odds of exclusive breastfeeding for 6 months relative to U.S.-born NH White women. U.S.-born Hispanic women had rates of exclusive breastfeeding for 6 months (23.2%) that were much closer to U.S.-born NH Black women (23.4%) than to foreign-born Hispanic women (29.4%) or U.S.-born White women (32.1%). Conclusions: The large percentage of foreign-born women who reported some breastfeeding at 6 months indicates a strong commitment to breastfeeding and may be a leverage point for future exclusive breastfeeding interventions among this group. U.S.-born Hispanic women appear to be struggling with exclusive breastfeeding and may need additional interventions.

美国按种族/族裔和外国出生身份分列的母乳喂养行为:美国全国儿童健康调查分析》。
目的:美国的外国出生人口在不断增长,但近年来尚未公布按种族/族裔和外国出生身份分列的具有全国代表性的母乳喂养行为统计数据。本研究调查了美国外国出生和美国出生的非西班牙裔(NH)黑人、NH 白人和西班牙裔妇女的母乳喂养启动情况、任何母乳喂养情况以及 3 个月和 6 个月的纯母乳喂养情况。研究方法:这是一项利用 2021 年和 2022 年全国儿童健康调查进行的横断面研究。样本包括 6 个月至 5 岁、与生母或养母同住的 NH 白人、NH 黑人和西班牙裔儿童(n = 27,818)。结果:与美国出生的北荷兰裔白人妇女相比,所有种族/族裔群体(北荷兰裔黑人、北荷兰裔白人和西班牙裔)中的外国出生妇女在 6 个月时进行母乳喂养的几率明显更高。然而,与在美国出生的新罕布什尔州白人妇女相比,她们在 6 个月内进行纯母乳喂养的几率并无明显差异。在美国出生的西班牙裔妇女 6 个月内纯母乳喂养的比率(23.2%)与在美国出生的新罕布什尔州黑人妇女(23.4%)相比,更接近于在外国出生的西班牙裔妇女(29.4%)或在美国出生的白人妇女(32.1%)。结论:有很大比例的外国出生妇女在 6 个月大时曾进行过母乳喂养,这表明她们对母乳喂养有着坚定的承诺,这可能是未来对这一群体进行纯母乳喂养干预的一个杠杆点。在美国出生的西班牙裔妇女在纯母乳喂养方面似乎有困难,可能需要额外的干预措施。
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来源期刊
Breastfeeding Medicine
Breastfeeding Medicine OBSTETRICS & GYNECOLOGY-PEDIATRICS
CiteScore
4.20
自引率
11.10%
发文量
130
审稿时长
6-12 weeks
期刊介绍: Breastfeeding Medicine provides unparalleled peer-reviewed research, protocols, and clinical applications to ensure optimal care for mother and infant. The Journal answers the growing demand for evidence-based research and explores the immediate and long-term outcomes of breastfeeding, including its epidemiologic, physiologic, and psychological benefits. It is the exclusive source of the Academy of Breastfeeding Medicine protocols. Breastfeeding Medicine coverage includes: Breastfeeding recommendations and protocols Health consequences of artificial feeding Physiology of lactation and biochemistry of breast milk Optimal nutrition for the breastfeeding mother Breastfeeding indications and contraindications Managing breastfeeding discomfort, pain, and other complications Breastfeeding the premature or sick infant Breastfeeding in the chronically ill mother Management of the breastfeeding mother on medication Infectious disease transmission through breast milk and breastfeeding The collection and storage of human milk and human milk banking Measuring the impact of being a “baby-friendly” hospital Cultural competence and cultural sensitivity International public health issues including social and economic issues.
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